Non-contrast computed tomography (NCCT) of the brain is critical to patients with acute ischemic stroke who receive thrombolysis and thrombectomy. It can help identify reperfusion-related hemorrhage, edema which need intervention. It also can guide the timing and intensity of antithrombotic therapy. Rapid, accurate, and automated detection and segmentation of acute ischemic lesions after endovascular therapy (EVT) are highly needed. In this work, we propose a novel encoder-decoder network for fully automatic segmentation of acute ischemic lesions after EVT on NCCT, which is named ISCT-EDN. NCCT images of AIS (acute ischemic stroke) patients who underwent EVT in a multicenter cohort study were collected in this study. ISCT-EDN takes hierarchical network as backbone. Feature pyramid network (FPN) is designed to aggregate features from multi stages of backbone. Reasonable feature fusion strategy is considered in FPN to enhance multi-level propagation. In addition, to overcome the limitation of fixed geometric structure of convolution for multi-range dependency exploitation, non-local parallel decoder is introduced with deformable convolution and self-attention. The proposed model was compared with 7 segmentation models which are commonly used in the medical domain and the performance was superior to other models in in the segmentation of post-treatment infarct lesions on NCCT images of AIS patients after EVT.
基金:
National Key R&D program
of China (2016YFC1307301), National Natural Science Foundation
of China (82001920) and Beijing Municipal Administration of
Hospitals’ Youth Programme (QML20210503), National Nature
Science and Foundation of China (62202044), Guangdong Basic and
Applied Basic Research Foundation (2020A1515110431), Scientific
and Technological Innovation Foundation of Foshan (BK22BF009).
第一作者机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, 119 West Rd, South 4th Ring, Beijing 100070, Peoples R China[2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Capital Med Univ, Beijing Tiantan Hosp, Dept Neurol, 119 West Rd, South 4th Ring, Beijing 100070, Peoples R China[2]China Natl Clin Res Ctr Neurol Dis, Beijing, Peoples R China
推荐引用方式(GB/T 7714):
Nie Ximing,Liu Xiran,Yang Hao,et al.Fully automatic identification of post-treatment infarct lesions after endovascular therapy based on non-contrast computed tomography[J].NEURAL COMPUTING & APPLICATIONS.2023,35(30):22101-22114.doi:10.1007/s00521-022-08094-4.
APA:
Nie, Ximing,Liu, Xiran,Yang, Hao,Shi, Feng,Gu, Weibin...&Liu, Liping.(2023).Fully automatic identification of post-treatment infarct lesions after endovascular therapy based on non-contrast computed tomography.NEURAL COMPUTING & APPLICATIONS,35,(30)
MLA:
Nie, Ximing,et al."Fully automatic identification of post-treatment infarct lesions after endovascular therapy based on non-contrast computed tomography".NEURAL COMPUTING & APPLICATIONS 35..30(2023):22101-22114